Provider Demographics
NPI:1225310501
Name:HARLE, CHRISTOPHER T (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:T
Last Name:HARLE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 BEES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6624
Mailing Address - Country:US
Mailing Address - Phone:843-766-3360
Mailing Address - Fax:843-852-5035
Practice Address - Street 1:3125 BEES FERRY RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-6624
Practice Address - Country:US
Practice Address - Phone:843-766-3360
Practice Address - Fax:843-852-5035
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD8533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist